Real change happens in relationship

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Real change is possible

I believe the kind of change people are seeking happens most fully in relationship. So much of who you are was shaped quietly, early, and likely outside your awareness. Therapy with me offers a relationship where those not‑yet‑known parts of you can finally be named and understood.

I will meet you where you are and help you notice the patterns that show up in your life. Together, we’ll make sense of them and work through any hard, long‑held feelings they carry. With my help, you’ll find your own words for what you think and feel, and bring those into relationship with others.

My approach draws on attachment theory, relational psychotherapy, and current research on how people grow and change; research that consistently shows deep transformation happens in connection, not in isolation.

Life moves fast. Therapy is a place to slow down, so you can respond to your life in ways that feel authentic to who you are and hope to be.

My Approach

We'll start by understanding what's actually going on beneath the problem that brought you in, not just the surface symptoms. I work relationally and hold both the emotional and the physical: when one part of you is struggling, the rest of you feels it too. We’ll pay attention to both.

With over twenty years of clinical experience, I've seen how a depth-oriented approach helps people understand themselves and the people they love, creating the lasting changes they desire. I take your time and financial commitment seriously. We'll figure out together whether this is the right fit for you.

Please reach out here when you are ready, and let's step into the work together.

Getting Started

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Experience

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Julie Cake, MA, LMHC

  • Over twenty years experience as a psychotherapist

  • Founded Seattle Therapy Alliance (now Mend) in 2009, Director of Clinical Supervision

  • Former president of Northwest Alliance for Psychoanalytic Study

Areas of Expertise and Interest

  • Eating Disorders

  • Family Relationships

  • Grief and Loss

  • Life Transitions

  • Parenting 

  • Substance Issues

Learn More about me

  • I offer a range of solutions designed to meet your needs from weekly individual therapy, couples and family therapy or supervision/consultation. I offer in person work or telehealth over HIPAA compliant Zoom.

  • Getting started is simple. Reach out through my contact form, email me or leave me a voicemail. I’ll walk you through the next steps and answer any questions along the way. Once we find a mutual time to meet, you will receive paperwork via the secure platform of Simple Practice.

  • You can reach me anytime via the contact page, direct email at julie@juliecake.com or by phone at 206.920.1448. I will respond within one to two business days.

  • While I am not paneled with insurance, most of my clients are able to use insurance to cover some of the costs for out-of-network therapy. I will provide you a Good Faith estimate before we begin, to help you determine your out-of-pocket expenses. If I am able to submit a claim on your behalf, I will. As needed, I will provide you a monthly super bill with the required information to submit a claim for reimbursement.

  • Most clients use a credit card through the secure platform of Simple Practice. If you prefer to avoid the fee, you can make payments through Zelle.

  • I’m collaborative, honest, and compassionate. I’m consistent and reliable. I’ll be here to guide the process, bring ideas to the table, and keep things moving. I offer a safe, judgement-free experience.

Frequently Asked Questions

Let’s begin the work together

Feel free to contact me by phone, email or through the contact form.

I will get back to you within one to two business days of your message.

I look forward to speaking with you about your specific situation, needs and availability.

Contact Me